# LIFE RAFT PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124855606
- **Authorized official:** MARGARET SHAFFER (OWNER)
- **Authorized official phone:** (814) 243-5365

## Contact information

- **Practice address:** 311 E PLEASANT VALLEY BLVD, ALTOONA, PA 16602-5512
- **Practice address phone:** (814) 243-5365
- **Mailing address:** 311 E PLEASANT VALLEY BLVD, ALTOONA, PA 16602-5512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2024
- **Last updated:** 09/18/2024